36 year old man came to us with progressive chest pain. He had history of hypertension and smoking. BMI was 29.1 and ECG during exercise showed coronary insufficiency. Triglycerides were elevated 3.93 mmol/l.

HDL cholesterol was low (0.77 mmol/l) We gave him aspirin, beta blocker and statin. But still the patient remains symptomatic. What to do now?